Intended for healthcare professionals

Fillers My most unfortunate mistake

Not thinking of things

BMJ 2000; 320 doi: (Published 22 January 2000) Cite this as: BMJ 2000;320:243
  1. T Peter Snell, retired general practitioner
  1. Abergavenny, Gwent.

    I was fortunate enough to practise medicine for several years in the Himalayas, and many of my patients were Tibetan refugees, employed by the Indian government on road building and repair. One of my first patients was a man with swollen gums and tender thighs, the latter showing a diffuse dusky discoloration. I was puzzled by this combination, and more with …

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